DR. BRYAN D BEAVER M.D.
NPI 1396833109
Pediatrics - Neonatal-Perinatal Medicine in Lafayette, IN

Q: What is Bryan Beaver's NPI number?

The NPI number for Bryan Beaver is 1396833109. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Bryan Beaver's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Beaver was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2006

2304 KOSSUTH ST, LAFAYETTE, IN 47904(765) 446-9600(765) 446-1100 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2019, Jun 19, 2016 (2 updates tracked since 2016).

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About Dr. Bryan D Beaver M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN D BEAVER M.D. (NPI 1396833109) is an individual neonatal-perinatal medicine provider in Lafayette, Indiana, licensed in Indiana (01082967A) and active in the NPI registry since October 2006. He maintains a secondary practice location in Tamuning.

NPPES Registry Identity

NPI1396833109

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. BRYAN D BEAVERCredential: M.D.

Location Address2304 KOSSUTH STLafayette, IN 47904-3240

Mailing Address2304 Kossuth StLafayette, IN 47904-3240 · (765) 446-9600 · Fax (765) 446-1100

Phone(765) 446-9600

Fax(765) 446-1100

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration

✔ NPI 1396833109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in IN · 01082967A✔ Licensed in GU · M1812

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

2304 KOSSUTH ST, Lafayette, IN 47904

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Secondary Practice Location 1

Location 1165 Marata St., Suite 105Tamuning, yes 96913 · Phone (671) 969-8276

Other Identifiers 2

Medicaid208338905MO

Medicaid300031240IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Beaver's NPI number?

The NPI number for Bryan Beaver is 1396833109. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Bryan Beaver located?

Bryan Beaver practices at 2304 Kossuth St, Lafayette, IN 47904. The listed phone number is (765) 446-9600.

What is Bryan Beaver's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Bryan Beaver was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.